Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $236.58 / $241.22 / $245.86	Facility		$236.58	$241.22	$245.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.58 / $245.86 / $389.38	Professional		$236.58	$245.86	$389.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,456.92 / $5,821.21 / $8,577.84	Facility		$5,456.92	$5,821.21	$8,577.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $252.12 / $315.44	Professional		$252.12	$252.12	$315.44
Christus Facility/Professional Facility Modifier Low / Median / High Price $529.76 / $529.76 / $529.76	Facility		$529.76	$529.76	$529.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.03 / $331.03 / $331.03	Facility		$331.03	$331.03	$331.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $331.03	Professional		$241.65	$241.65	$331.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.68 / $2,763.54 / $3,355.16	Facility		$1,262.68	$2,763.54	$3,355.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,991.82 / $4,087.62 / $4,109.03	Professional		$3,991.82	$4,087.62	$4,109.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $366.55 / $529.76	Facility		$170.63	$366.55	$529.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $487.38 / $529.76	Professional		$170.63	$487.38	$529.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $476.78 / $556.25 / $1,215.81	Professional		$476.78	$556.25	$1,215.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.63 / $353.98 / $529.76	Facility		$170.63	$353.98	$529.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.65 / $241.65 / $352.89	Professional		$241.65	$241.65	$352.89
United Facility/Professional Professional Modifier Low / Median / High Price $220.25 / $318.50 / $379.17	Professional		$220.25	$318.50	$379.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $317.39 / $322.16 / $529.76	Professional		$317.39	$322.16	$529.76